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1Dental IQ Magazine Winter 2014

IQDental

5 Ways

Dental EMERGENCIES

what to do...who to call...

to Make a Tooth-Friendly Lunch BOX

By Dr. Gary Vance

Chewing GUM ...what you need to know...

Healthy Habits Healthy Teeth

Making Your Pet’s Mouth

SHINE!Practical dental care tips for your pet

By Alison Strauss D.V.M.

Winter 2014

2 Dental IQ Magazine Winter 2014

DentalIQDentalIQ

Dental IQ

Publisher:

Rachel [email protected]

Graphic Design:

Fred [email protected]

Contributing Writers:

Dr. David BonebreakVillage Center Orthodontics

Dr. Gary Vance, DDS

Alison Strauss D.V.M.VCA Columbia Animal Hospital

Dr. Gene Shirokobrod, PT, DPT, OMPTPhysical Therapy First

To Advertise contact Rachel Goykhman 443-220-7066

5 Ways

Dental EMERGENCIES


to Make a Tooth-Friendly Lunch BOX

By Dr. Gary Vance

Chewing GUM ...what you need to know...

Making Your Pet’s Mouth

4.

6.

8.

10.

12.

14.

Thumb Sucking

SHINE!Practical tips for dental care for your petBy Alison Strauss D.V.M.

TMJWHAT IT IS... AND HOW TO TREAT IT!

Dental Effects and Skeletal Changes

Dental

IQ

DentalIQ

Dental IQ Magazine Winter 2014 3? ADVERTISE

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IQHealthy Habits Healthy Teeth

DID YOU KNOW???We produce

100,000 gallons of saliva in a lifetime!!!

There are more bacteria

in your mouth

RIGHT NOWthan there are

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3rd molars

are called wisdom teeth

because they erupt when a

person is older and wiser.

Dental IQ Magazine Winter 20144

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Formerly Known as

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Just a few of the technological advancesthat Dr. Mazursky has embraced:

P l e a s e v i s i t o a k h a l l d e n t a l . c o m

ChewingGum... What you need to know

The only varieties of gum with the ADA Seal are sugarless. They are sweetened by non-cavity causing sweeteners such as aspartame, xylitol, sorbitol or mannitol.

Clinical studies have shown that chewing sugarless gum for 20 minutes following meals can help prevent tooth decay.

The chewing of sugarless gum increases the flow of saliva, which washes away food and oth-er debris, neutralizes acids produced by bacteria in the mouth and provides disease-fighting sub-stances throughout the mouth. Increased saliva flow also carries with it more calcium and phos-phate to help strengthen tooth enamel.

The only varieties of gum with the ADA Seal are

sugarless.

- Reprinted from MouthHealthy.org, the American Dental Association’s website for patients.

Dental IQ Magazine Winter 2014 5

Of course, chewing sugar-containing gum in-creases saliva flow too, but it also contains sugar which is used by plaque bacteria to produce de-cay-causing acids. Further research needs to be done to determine the effects of chewing sug-ar-containing gum on tooth decay.

Don’t let chewing sugarless gum replace brush-ing and flossing. It’s not a substitute. The ADA still recommends brushing twice a day with flu-oride toothpaste and cleaning plaque from be-tween your teeth once a day with dental floss or other interdental cleaners.

Look for chewing gum that carries the ADA Seal. The ADA Seal is your assurance that the sugar-free chewing gum has met the ADA cri-teria for safety and effectiveness. You can trust that claims made on packaging and labeling for ADA-accepted products are true, because com-panies must verify all of the information to the ADA. Products with the ADA Seal say what they do and do what they say.

Don’t let chewing sugarless gum replace brushing and flossing. It’s not a substitute.


Q& ADental EMERGENCIES

For all dental emergencies, it’s important to visit your dentist as soon

as possible.

A ccidents happen, and knowing what to do when one occurs can mean the dif ference between saving and

losing a tooth. Here are some common dental emergencies and how to deal with them. For al l dental emergencies, i t ’s im-portant to visit your dentist as soon as possible.

Most dentists reserve t ime in their dai ly schedules for emergency patients so be sure to cal l your dentist and provide as much detai l as you can about your con-dit ion. I f the accident occurs when your dental off ice is not open, visi t your local emergency room.

Q: What do I do if I knock out my tooth?

A: For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk, or use a tooth preservation product that has the ADA Seal of Acceptance. Then, get to your dentist’s office right away.


–Reprinted from MouthHealthy.org, the American Dental Association’s website for patients.


Q& AQ: How do I treat a toothache?

A: For toothaches, rinse your mouth with warm water to clean it out. Gently use dental floss to remove any food caught between your teeth. Do not put aspirin on your aching tooth or gums; it may burn the gum tissue. If the pain persists, contact your dentist.

Q: What if I think my jaw is broken?

A: If you think your jaw is broken apply cold compresses to control the swelling. Go to your dentist or a hospital emergency departmentimmediately.

Q: How do I remove an object that’s stuck in my mouth or teeth?

A: For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with a sharp or pointed instrument. See your dentist or go to the emergency room as soon as possible.

Q: How can I avoid a dental emergency?

A: There are a number of simple precautions you can take to avoid accident and injury to the teeth:• Wear a mouthguard when participating in sports or recreational activities.• Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth.• Use scissors, NEVER your teeth, to cut things.

Use scissors, NEVER your teeth,

to cut things.

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Q: What if I crack my tooth?

A: For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swell-ing down. See your dentist as soon as possible.

Q: If I bite my tongue or lip, how do I treat it?

A: If you bite your tongue or lip, clean the area gently with water and apply a cold compress. See your dentist or go to the emergency room as soon as possible.


One of the most common habits of early childhood is that of digit sucking, whether it is the thumb or other digits (commonly the forefinger and middle

finger used together). Digit sucking, when carried beyond a few years of age cannot only lead to significant dental changes but skeletal changes involving the jaws as well. Most commonly, digit habits lead to the following dental and skeletal changes:

Protrusion of the upper front teeth occurs as a result of the prying force produced by the digit(s). Similarly, with the digit acting as a lever, the lower front teeth

are often pushed back potentially crowding these teeth. It has been identified that protrusion of the upper teeth is associated with a higher incidence of trauma to these teeth. Additionally, the appearance of excessively pro-truded teeth may influence the developing self-esteem of the patient.

The development of an openbite occurs as the digit(s) prevent the full eruption of the front teeth. Tipping of the upper front teeth forward and upward, and

the lower front teeth back, further increases the vertical space between the upper and lower front teeth. The presence of an openbite often creates speech difficulties when articulating certain consonants.

Thumb Sucking

Dental Effects and Skeletal

Changes• Excessive protrusion and spacing of the upper front teeth

• The development of a space between the upper and lower front teeth (known as an openbite)

• The development of a crossbite involving the back teeth

”– By Dr. David Bonebreak –


• Excessive protrusion and spacing of the upper front teeth

• The development of a space between the upper and lower front teeth (known as an openbite)

• The development of a crossbite involving the back teeth

These appliances are generally fixed, that is, “ce-mented” (although they may also be removable) and address the habit through occupying the space

previously occupied by the digits. Upon cessation of the habit, the appliance is left in place for a few months to prevent a return of the habit. Total duration of appliance use depends on the amount of time needed to eliminate the habit. Braces on the front teeth may also be used to properly position them.

In summary, digit habits that extend beyond a few years of age often result in detrimental changes to the positions of the teeth and their supporting skeletal

structures (jaws). Fortunately, well tolerated appliances are available that have a high success rate in eliminating these habits all together whether they occur during waking hours, sleeping hours, or both.

A crossbite occurs when the upper teeth fit inside the lower teeth rather than slightly outside them. This is best visualized as a lid (upper jaw) that is too

small to fit the rim of its jar (lower jaw). This often results in a redirection of the lower jaw with a noticeable shift to one side when opening and closing. When left unad-dressed, the growth of the lower jaw will deviate to one side while the upper jaw will fail to develop its proper width. When accounting for the fact that the roof of the upper jaw is also the floor of the nasal cavity, the volume of the nasal airway may not develop to its full potential, in theory, reducing nasal airflow. This increase in nasal airway resistance is thought by many to be one contribut-ing factor to sleep apnea and snoring in children.

Digit habits are commonly addressed with an appli-ance that seeks to eliminate the habit while gently (when necessary to correct a crossbite) widening

the upper jaw.

Dr. David Bonebreak

Dr. Byron Bonebreak

River Hill Shopping Center6100 Day Long Lane, Suite 106Clarksville, Maryland 21029

Owen Brown Shopping Center7160 Cradlerock WayColumbia, Maryland 21045

Kings Contrivance Village Center8640 Guilford Rd, Suite 233Columbia, Maryland 21046

”


5Waysto Make a Tooth-Friendly Lunch BOX By Dr. Gary Vance

Sending your chi ld off to school each

morning wel l-prepared not only means a

backpack f i l led with the r ight technology,

penci ls and notebooks, but a lunch box packed

with a tooth-fr iendly, energizing meal. Eat ing

a healthy lunch not only gives kids the oomph

to stay focused in class, but also helps their

mouths fend off plaque, periodontal disease and

cavit ies.

Calcium. Foods r ich in calcium (milk, yogurt, and

cheese) make your teeth and jaw bone strong whi le protecting

your mouth against tooth decay.

Bacteria Fighters. Foods

l ike celery, apples, pears and carrots cause you to

chew more, which generates more sal iva and ki l ls the

bad bacter ia in your mouth.

The best choices for a healthy mouth

are foods that include:


What should you avoid?

When possible, stay away from foods that can get stuck

between your teeth and lead to the break down of enam-

el l ike sugary sodas, white bread, and gummy candies.

When you must, make sure these snacks are given when

chi ldren can brush their teeth after the meal.

Vitamin C. Foods high in Vitamin C, such as red peppers

and oranges, keep your gums healthy by strengthening blood vessels

and connective t issue.

Vitamin D. Pack foods l ike hard boi led eggs and tuna

f ish. They’re not only protein-r ich, these super foods help aid in the

absorption of calcium and protein, two key ingredients needed to

make strong teeth.

Protein. For the main course, try soups or whole-wheat sand-

wiches made with protein-r ich foods such as, chicken, turkey and ham to

help teeth bui ld enamel.


?Making Your Pet’s Mouth

SHINE!Practical tips for dental care for your pet

Dental disease is still the most common prob-lem recognized in our dog and cat companion animals, affecting around 80% of pets that are two years and older. As we strive to keep all of our pets healthy, we must take steps to control this disease. When we do this appro-priately, we will prevent infection and pain, and give our furry friends longer, healthier lives. Fortunately, preventing and managing dental disease is something we can do with the right tools and approach.

Alison Strauss D.V.M.Associate Veterinarian VCA Columbia Animal Hospital at Hickory Ridge


Visit your veterinarian

You and your veterinarian should discuss your pet’s dental health and plan for their dental care at their annual wellness visit. You can work together to develop a plan to meet your pet’s needs.

Your veterinarian is trained to evaluate your pet’s teeth and mouth and can guide you through the necessary steps to provide good dental care and overall better health for your pet.

tips to make it

simple

Brush, Brush, Brush

Hands down the best care for teeth is brushing. Using a flat, soft bristled brush and a pet friendly toothpaste or dental gel will help remove the plaque and bacteria that build up on your pet’s

teeth daily. The key to brushing is to start early, to get your pet used to the routine, and to brush daily. If you are still not comfortable working with your pet’s mouth talk to your veterinarian, they are available to help you get started.

Chew Smarter

Incorporate a dental chew, treat or food that is designed for dental care. A resource for tested and reliable dental products is the Veteri-nary Oral Health Council www.vohc.org/ . This organization reviews

and awards its seal of approval to products that meet pre-set stan-dards for control of plaque and tartar. Chewing can be dangerous if we choose products that are not appropriate for your pet. A common mistake is to offer chews or treats that are too hard and can actually break teeth. Using the advice of your veterinarian, and resources like the VOHC, you can make the right choice for your pet.

Rinse and Spit

Mouthwash may not be practical for pets, but there are plenty of oral rinses for pets that offer similar benefits. These are solutions diluted in drinking water or applied to your pet’s

teeth that help keep infection controlled and help to prevent plaque and tartar. These should not replace brushing, but are a helpful addition to good daily dental care. Arming yourself with several dental care products is the best way to round out home dental care.

The Professional Dental Cleaning

Even with regular at home care like brushing; pets need to have their teeth professionally cleaned. Your veterinarian is trained to use specialized dental instruments to remove plaque and tartar

above and below the gumline, polish your pet’s teeth, and perform a thorough oral examination. For pets, professional dental cleanings are best accomplished under anesthesia. This is the safest, most effective way to provide complete oral care for our pets. Modern anesthetics and anesthesia monitoring allows veterinarians to per-form professional dental cleanings safely. For more information on professional dental cleanings under anesthesia consult the American Veterinary Dental College at www.avdc.org and the American Animal Hospital Association website at www.aaha.org/pet_owner/ you will find a dental care section with the latest dental care guidelines.

Dental Radiographs (X-rays)

Just like our dental care, your pet’s dental care should include den-tal radiographs. These are small radiographs taken of your pet’s teeth using specialized equipment. Examination of your pet’s

mouth can assess only the exposed portion of the teeth and support-ing dental structures. A large portion of your pet’s teeth are below the gumline and “out of sight”. Dental X-rays help us to evaluate the roots of teeth and the associated bone and tissue, to better diagnose and treat dental disease.

Advanced Care

Veterinary Dental Specialists are available to work with your family veterinarian in the event your pet needs advanced dental care. These are veterinarians with an additional 2-4 years of special training and

certifications in dental care. They use this advanced training to save teeth that otherwise may need to be extracted. They can correct over and under bites that can lead to pain and disease repair dental birth defects like cleft palates and even remove aggressive tumors. Your veterinarian can help you find a dental specialist when needed. The American Veterinary Dental Society, American Veterinary Dental College, and the Academy of Veterinary Dentistry are all organizations ready to help our pets with their advanced dental care needs.

Dental disease is more than just bad breath and unsightly tartar buildup. It is infection and pain! Thankfully, your veterinarian has the knowledge and tools to help prevent this disease, control

and treat it if it is present, and facilitate access to advanced care specialists when needed. With these sensible steps you can help your beloved pet’s live long and healthy lives.


”

As you go about your day, there are many movements and activities that you perform. Most of these movements are so common, that you probably do not even think about

them. For these movements to happen your joints need to function properly. If there is a problem at a joint, then it affects the motion joint it is responsible for. For example, if you sprain your ankle joint then you will walk with a limp. So what happens when a joint that is responsible for opening your mouth and chewing becomes dysfunction? Typically, a lot of pain.

TMJ

WHAT IT IS... AND HOW TO TREAT IT!

The joint in question is the temperomandibular joint, or more commonly known by its abbreviation, TMJ. The joint is a hinge that connects your jaw (mandible) to

your skull (temporal portion), with one on each side near your ears. The TMJ allows for opening, closing, chewing and side-to-side motion of your jaw. All fairly important in daily life, don't you agree?

If a problem arises with either TMJ, it is temperomandibular dysfunction or TMD. A few common symptoms of TMD include pain with jaw opening, closing or chewing. You may also hear

clicking or even experience locking of the jaw. The TMJ, like most joints in the body, move when muscles activated (shortened/lengthened). The muscles that move the TMJ and the jaw are called muscles of mastication. As you can imagine, these muscles are very strong in order to be able to sustain all day’s worth of talking and chewing. If you develop TMD, the muscles of mastica-tion commonly become dysfunctional as well, which can lead to pain around the jaw, neck or even cause headaches?

If you experience pain around the jaw or hear clicking while talking and/or chewing there is a good chance one of your TMJ is involved. The best initial plan to reduce pain is to eliminate

chewy foods or substances such as gum for a few days. Since the TMJ is a complex joint that can cause pain and dysfunction in the jaw, neck or even cause headaches, it is best to find a dentist or physical therapist that specializes in the treatment of TMD.

The best initial plan to reduce pain is to eliminate chewy foods

or substances such as gum for a few days.

Dr. Gene Shirokobrod, PT, DPT, OMPT

Dental IQ Magazine Winter 2014 151” Move EasierFeel Less Pain

Have More Energy

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T: 410-752-5533 | F: 410-244-5202

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Have More Energy








Baltimore, MD 21210T: 410-662-7977 | F: 410-662-4544


T: 410-752-5533 | F: 410-244-5202

Move EasierFeel Less Pain

Have More Energy








Baltimore, MD 21210T: 410-662-7977 | F: 410-662-4544


T: 410-752-5533 | F: 410-244-5202

16

4 shades* in 5 minutesFinally, you can get professional whitening when you get your teeth cleaned, with no separate appointment.

Philips Zoom QuickPro whitening varnish gives you a noticeably whiter smile and only takes your dental professional five minutes to apply. Leave the office and brush or wipe off 30 minutes later to enjoy your new brighter smile.

Ask your dental professional to learn more or visit zoomwhitening.com

*Average shade improvement, actual results may vary

dental iq final face book

Documents

chewing of sugarless

dental effects

varieties of gum

u lanap laser

practical dental care

u emergency carewhy

gary vance

flow of saliva